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Bilateral prominent schwalbe ring in the anterior chamber in a patient with axenfeld-rieger syndrome and megalocornea.

Espana EM, Mora R, Liebmann J, Ritch R

Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, NY 10003, USA. eespana@med.miami.edu

PURPOSE: To report the unusual presentation of bilateral Schwalbe rings suspended in the anterior chambers of a patient with Axenfeld-Rieger syndrome. METHODS: A 37-year-old man with bilateral decreasing visual acuity underwent slit-lamp examination, dark room gonioscopy, and photographic documentation. RESULTS: Prominent bilateral Schwalbe rings and peripheral iridocorneal strands were observed in both anterior chambers. No systemic abnormalities were found. CONCLUSIONS: The position of the Schwalbe ring in patients with Axenfeld-Rieger syndrome can vary in appearance from almost normal to displaced markedly. It remains to be seen whether these variations reflect genetic differences.

Published 6 April 2007 in Cornea, 26(3): 379-81.
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